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Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen

BACKGROUND: Focused assessment with sonography in trauma (FAST) being a rapid noninvasive examination is used primarily to evaluate for the evidence of traumatic free fluid suggestive of injury in the peritoneal, pericardial, and pleural cavities. It is widely recognized as a mainstream emergency sk...

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Autores principales: Engles, Shradha, Saini, Navdeep Singh, Rathore, Shubra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822327/
https://www.ncbi.nlm.nih.gov/pubmed/31681541
http://dx.doi.org/10.4103/ijabmr.IJABMR_273_19
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author Engles, Shradha
Saini, Navdeep Singh
Rathore, Shubra
author_facet Engles, Shradha
Saini, Navdeep Singh
Rathore, Shubra
author_sort Engles, Shradha
collection PubMed
description BACKGROUND: Focused assessment with sonography in trauma (FAST) being a rapid noninvasive examination is used primarily to evaluate for the evidence of traumatic free fluid suggestive of injury in the peritoneal, pericardial, and pleural cavities. It is widely recognized as a mainstream emergency skill in the management of trauma. AIM: The aim of the study is to evaluate the accuracy of FAST in patients presenting with blunt abdominal trauma. METHODS: Data were collected prospectively from FAST scans conducted in blunt trauma abdomen (BTA) patients. Positive and negative FAST scans were confirmed either with contrast-enhanced computed tomography (CECT) abdomen or with exploratory laparotomy, thus dividing it further into four groups, i.e., true-positive, false-positive, true-negative, and false-negative scans. After collecting the data, accuracy of FAST was calculated. RESULTS: In this study, a total of 104 patients were included. The mean age was 38.17 years. Most common cause of BTA was road traffic accident. The overall sensitivity, specificity, and accuracy of FAST were 69.8%, 92.1%, and 80.8%, respectively. CONCLUSION: This study showed that FAST is of paramount importance in patients who are hemodynamically unstable as it has a high positive predictive value. However, a FAST-negative result should always be confirmed by other modalities.
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spelling pubmed-68223272019-11-01 Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen Engles, Shradha Saini, Navdeep Singh Rathore, Shubra Int J Appl Basic Med Res Original Article BACKGROUND: Focused assessment with sonography in trauma (FAST) being a rapid noninvasive examination is used primarily to evaluate for the evidence of traumatic free fluid suggestive of injury in the peritoneal, pericardial, and pleural cavities. It is widely recognized as a mainstream emergency skill in the management of trauma. AIM: The aim of the study is to evaluate the accuracy of FAST in patients presenting with blunt abdominal trauma. METHODS: Data were collected prospectively from FAST scans conducted in blunt trauma abdomen (BTA) patients. Positive and negative FAST scans were confirmed either with contrast-enhanced computed tomography (CECT) abdomen or with exploratory laparotomy, thus dividing it further into four groups, i.e., true-positive, false-positive, true-negative, and false-negative scans. After collecting the data, accuracy of FAST was calculated. RESULTS: In this study, a total of 104 patients were included. The mean age was 38.17 years. Most common cause of BTA was road traffic accident. The overall sensitivity, specificity, and accuracy of FAST were 69.8%, 92.1%, and 80.8%, respectively. CONCLUSION: This study showed that FAST is of paramount importance in patients who are hemodynamically unstable as it has a high positive predictive value. However, a FAST-negative result should always be confirmed by other modalities. Wolters Kluwer - Medknow 2019 2019-10-11 /pmc/articles/PMC6822327/ /pubmed/31681541 http://dx.doi.org/10.4103/ijabmr.IJABMR_273_19 Text en Copyright: © 2019 International Journal of Applied and Basic Medical Research http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Engles, Shradha
Saini, Navdeep Singh
Rathore, Shubra
Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen
title Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen
title_full Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen
title_fullStr Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen
title_full_unstemmed Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen
title_short Emergency Focused Assessment with Sonography in Blunt Trauma Abdomen
title_sort emergency focused assessment with sonography in blunt trauma abdomen
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822327/
https://www.ncbi.nlm.nih.gov/pubmed/31681541
http://dx.doi.org/10.4103/ijabmr.IJABMR_273_19
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